Is the Evaluation of Entamoeba Histolytica Infection in HIV-Positive Patients of any Clinical Significance?

Amoebiasis caused by Entamoeba histolytica (E. histolytica) is one of the most problematic parasitic infections worldwide. Data regarding the effect of HIV-induced immunodeficiency on the status of E. histolytica infection are sparse in Iran. This study aimed to assess the seroprevalence of anti-E....

Full description

Bibliographic Details
Main Authors: Alireza Abdollahi, Hana Saffar, Hiva Saffar, Sara Sheikhbahaei, Mehrnaz Rasoulinejad
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2015-01-01
Series:Acta Medica Iranica
Subjects:
Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/4937
_version_ 1811293642626695168
author Alireza Abdollahi
Hana Saffar
Hiva Saffar
Sara Sheikhbahaei
Mehrnaz Rasoulinejad
author_facet Alireza Abdollahi
Hana Saffar
Hiva Saffar
Sara Sheikhbahaei
Mehrnaz Rasoulinejad
author_sort Alireza Abdollahi
collection DOAJ
description Amoebiasis caused by Entamoeba histolytica (E. histolytica) is one of the most problematic parasitic infections worldwide. Data regarding the effect of HIV-induced immunodeficiency on the status of E. histolytica infection are sparse in Iran. This study aimed to assess the seroprevalence of anti-E. histolytica IgG among Iranian HIV patients. Further, it determined whether the advancement of immunodeficiency accompanies an increased risk of amoebiasis. A total of 91 HIV-infected patients and 91 controls were enrolled in this case-control study. Controls were matched to cases with respect to age, gender, and where possible socioeconomic status. Patients with a history of treatment for intestinal parasitism within last two weeks were not included in the study. Blood samples were obtained from all participants. Serum IgG against E. histolytica measured using a commercial enzyme-linked immunosorbent assay (ELISA). The mean serum anti-E. histolytica IgG was significantly higher in HIV patients than controls (9.34 ± 4.18 vs. 2.07 ± 0.60, P<0.001). HIV-infected patients showed a significantly higher positive serology for E. histolytica IgG comparing healthy controls (30.8% vs. 0% P<0.001). There was no statistical difference in the serology of E. histolytica among AIDS stage and non-AIDS HIV patients. This study demonstrated that HIV is significantly associated with higher prevalence of E. histolytica infection. Early evaluation and treatment of E. histolytica in this population is recommended to prevent and control this infection.
first_indexed 2024-04-13T05:04:34Z
format Article
id doaj.art-7adf25c8dd22453b947abab68bfd78e5
institution Directory Open Access Journal
issn 0044-6025
1735-9694
language English
last_indexed 2024-04-13T05:04:34Z
publishDate 2015-01-01
publisher Tehran University of Medical Sciences
record_format Article
series Acta Medica Iranica
spelling doaj.art-7adf25c8dd22453b947abab68bfd78e52022-12-22T03:01:13ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942015-01-015314890Is the Evaluation of Entamoeba Histolytica Infection in HIV-Positive Patients of any Clinical Significance?Alireza Abdollahi0Hana Saffar1Hiva Saffar2Sara Sheikhbahaei3Mehrnaz Rasoulinejad4Department of Pathology, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. AND Thrombosis Hemostasis Research Center, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Department of Pathology, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Department of Pathology, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Department of Pathology, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Department of Infectious Diseases, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Amoebiasis caused by Entamoeba histolytica (E. histolytica) is one of the most problematic parasitic infections worldwide. Data regarding the effect of HIV-induced immunodeficiency on the status of E. histolytica infection are sparse in Iran. This study aimed to assess the seroprevalence of anti-E. histolytica IgG among Iranian HIV patients. Further, it determined whether the advancement of immunodeficiency accompanies an increased risk of amoebiasis. A total of 91 HIV-infected patients and 91 controls were enrolled in this case-control study. Controls were matched to cases with respect to age, gender, and where possible socioeconomic status. Patients with a history of treatment for intestinal parasitism within last two weeks were not included in the study. Blood samples were obtained from all participants. Serum IgG against E. histolytica measured using a commercial enzyme-linked immunosorbent assay (ELISA). The mean serum anti-E. histolytica IgG was significantly higher in HIV patients than controls (9.34 ± 4.18 vs. 2.07 ± 0.60, P<0.001). HIV-infected patients showed a significantly higher positive serology for E. histolytica IgG comparing healthy controls (30.8% vs. 0% P<0.001). There was no statistical difference in the serology of E. histolytica among AIDS stage and non-AIDS HIV patients. This study demonstrated that HIV is significantly associated with higher prevalence of E. histolytica infection. Early evaluation and treatment of E. histolytica in this population is recommended to prevent and control this infection.https://acta.tums.ac.ir/index.php/acta/article/view/4937Entamoeba histolyticaSeroprevalenceHIV infection
spellingShingle Alireza Abdollahi
Hana Saffar
Hiva Saffar
Sara Sheikhbahaei
Mehrnaz Rasoulinejad
Is the Evaluation of Entamoeba Histolytica Infection in HIV-Positive Patients of any Clinical Significance?
Acta Medica Iranica
Entamoeba histolytica
Seroprevalence
HIV infection
title Is the Evaluation of Entamoeba Histolytica Infection in HIV-Positive Patients of any Clinical Significance?
title_full Is the Evaluation of Entamoeba Histolytica Infection in HIV-Positive Patients of any Clinical Significance?
title_fullStr Is the Evaluation of Entamoeba Histolytica Infection in HIV-Positive Patients of any Clinical Significance?
title_full_unstemmed Is the Evaluation of Entamoeba Histolytica Infection in HIV-Positive Patients of any Clinical Significance?
title_short Is the Evaluation of Entamoeba Histolytica Infection in HIV-Positive Patients of any Clinical Significance?
title_sort is the evaluation of entamoeba histolytica infection in hiv positive patients of any clinical significance
topic Entamoeba histolytica
Seroprevalence
HIV infection
url https://acta.tums.ac.ir/index.php/acta/article/view/4937
work_keys_str_mv AT alirezaabdollahi istheevaluationofentamoebahistolyticainfectioninhivpositivepatientsofanyclinicalsignificance
AT hanasaffar istheevaluationofentamoebahistolyticainfectioninhivpositivepatientsofanyclinicalsignificance
AT hivasaffar istheevaluationofentamoebahistolyticainfectioninhivpositivepatientsofanyclinicalsignificance
AT sarasheikhbahaei istheevaluationofentamoebahistolyticainfectioninhivpositivepatientsofanyclinicalsignificance
AT mehrnazrasoulinejad istheevaluationofentamoebahistolyticainfectioninhivpositivepatientsofanyclinicalsignificance